Individual
MICHAEL JOSEPH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 S MAIN AVE, SPOKANE, WA 99006
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 482-5071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO171109
OR
207Q00000X
Family Medicine Physician
Primary
OP61178958
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500685855
—
OR
Enumeration date
03/27/2012
Last updated
10/22/2021
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